Residual Deformity Results After Incorporated Spica Casting in Pediatric Femur Fractures

Öz

Abstract Aim: The aim of the treatment of pediatric femoral fractures is to provide union by obtaining an adequate and acceptable alignment with the least invasive intervention. Although the treatment is controversial, especially in the age range of 2-6, pelvipedal casting is the most widely used treatment method in this age group. Although it is safe and less invasive, residual deformity can be seen after healing. The aim of this study is to present the radiological results in terms of residual deformity in pediatric patients under 7 years of age who were treated with early incorperated pelvipedal casting. Material and Method: In this study, a total of 16 patients (10 males and 6 females) who were operated for pediatric femoral shaft fractures, were evaluated and the deformities in the post-recovery follow-up of the patients were measured. Angulation and limb lenght discrepancy were evaluated on radiography and rotational deformities were evaluated by physical examination in the prone position. Results: The mean age of 16 patients with a mean follow-up period of 50,8 ± 16,9 months (24-78) was 33 ± 21,1 months. After recovery, mean coronal plan angulation was 5,2 ± 6,7 degree and saggital plan angulation was 12,3 ± 7,5 degree. While 3,3 ± 2,7 mm shortening was detected in 6 patients, and 8,8 ± 3,9 mm elongation was detected in 5 patients. Conclusion: In conclusion, early incorporated spica casting is an advantageous treatment in terms of hospital stay and cost, besides it also safe in terms of deformity.

Anahtar Kelimeler

• Femur fracture
• children
• spica casting
• deformity

Pediatrik Femur Kırıklarında İnkorpore Pelvipedal Alçılama Sonrası Rezidüel Deformite Sonuçları

Öz

Giriş: Çocuk femur kırıklarının tedavisinde amaç, en az invaziv müdahele ile yeterli ve kabul edilebilir bir dizilim elde ederek kaynamanın sağlanmasıdır. Özellikle 2-6 yaş aralığında tedavi tartışmalı olmasına rağmen pelvipedal alçılama bu yaş grubunda en yaygın kullanılan tedavi yöntemidir. Güvenli ve daha az invaziv olmasına rağmen iyileşme sonrası rezidüel deformite görülebilmektedir. Bu çalışmanın amacı erken inkorpore pelvipedal alçılama ile tedavi edilen 7 yaş altı pediatrik hastaların rezidüel deformite açısından radyolojik sonuçlarını sunmaktır. Hastalar ve Yöntem: Bu çalışmada pediatrik femur cisim kırığı sebebiyle opere edilmiş 10’u erkek, 6’sı kız toplam 16 hasta değerlendirildi ve hastaların iyileşme sonrası takiplerindeki deformiteler ölçüldü. Hastaların ön-arka ve yan plan açılanması ile ekstremite eşitsizlikleri radyografi yardımıyla; rotasyon deformiteleri ise prone pozisyonunda fizik muayene ile değerlendirildi. Bulgular: Ortalama takip süresi 50,8±16,9 ay (24-78) olan 16 hastanın yaş ortalaması 33±21,1 ay idi. Hastaların iyileşme sonrası ortalama ön-arka plan açılanması 5,2 ± 6,7 derece ve yan plan açılanması 12,3± 7,5 dereceydi. 6 hastada 3,3±2,7 mm kısalık saptanırken 5 hastada ise 8,8±3,9 mm uzama tespit edildi. Sonuç: Sonuç olarak erken inkorpere pelvipedal alçılama yatış süresi ve maliyet açısından avantajlı bir tedavi olmasının yanı sıra deformite açısından da güvenlidir.

Anahtar Kelimeler

• Femur kırıkları
• çocuk
• pelvipedal alçılama
• deformite

Kaynakça

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